Ada Orthopedics & Sports Medicine, PC

NPI #1427196773 in Ada, Oklahoma

Provider Information

NPI Number
1427196773
Entity Type
Organization
Organization Name
Ada Orthopedics & Sports Medicine, PC
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Feb 1, 2007
Last Updated
Mar 27, 2008

Practice Location

Address
625 N MONTE VISTA ST
City
Ada
ZIP Code
74820-4613
Phone
(580) 332-4443

Authorized Official

Name
ROGER JOHN CHARBONEAU, D.O.
Title
SURGEON
Phone
(580) 332-4443

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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